Monday, 11 June 2012

Far and away the best prize that life has to offer is to work hard at work worth doing.


June 11,2012

This is the very first cow that we worked on. Poor girl just
calved about 5 hours ago.
Today was our first day at the clinic, and I have to say, it was amazing! I learned so much, just from the few animals that we saw.  Our objective for our bovine tuberculosis/brucellosis project was to collect blood, serum, and milk samples from any cows that we could at the clinic.  Our first case of the day was a cow that had just had a calf that morning, and had a large laceration on the left front teat of its udder.  Apparently, the laceration was related to the calving, and it was also leaking fluid out of its vulva that was reddish and sticky looking (due to calving). 

After that I made my first attempt at getting a blood sample.  I ended up getting the needle in, and popping the vacutainer on, however, she struggled, and when she did, my needle pulled out.  

I made Daryl stand next to a cow to show how small
the cows are here compared to the US.
I was frustrated with myself, but Dr. MohanKumar said that I had done great for trying to pull blood on a water buffalo because apparently their veins are really hard to get to.  I realized later that he was right, because the veterinarians at the college tried at least 6 or 7 times before they actually got a stick.  We collected those samples and then moved on to our next case.
This is the water buffalo that I attempted to pull blood on.

Our next case was a cow that appeared to be going blind in both of its eyes, anemic, and it was also crawling with ticks.  In India, ticks are really hard to control, and seem to be a difficulty to treat.  At first it was suspected that the animal had anaplasmosis, which is a blood borne protozoa, caused by ticks, but later it was suspected that the animal had a blood borne pathogen called theriosmosis (sp?).

This is me with the cow that was blind!
Our next case was a Holstein cross that had abdominal distention that was thought to be caused by a rumen infection.  After collecting samples from that, we were taken into the gynecology and obstetrics clinic to look at a cow that had had a mummified calf taken out by cesarean section 4 days ago.  Here is the rundown…the cow was brought in at 6 months gestation after a hard mass was felt during rectal palpation.  The cow was dilated to 1 cm, and upon sonograming, the fetus was pronounced dead.  She was given PGF2a to lyse the corpus luteum, and induce abortion.  She was then given estrogen to prime her structures so that oxytocin, a hormone used for milk letdown and birthing, could take effect.  After that, she was given an inverted L nerve block, and an incision was made on the left side of her body as to avoid the duodenum (part of the small intestine), and to be able to differentiate between the uterus and the rumen, all the while avoiding the omentum.  Then, the mummified calf was taken out, and she was sewn up.  There are many reasons why this calf could have been mummified, but nothing had been figured out yet.  I realize that a lot of you reading this blog have no idea what any of this means, but please know that this is a way for me to journal about the things that I have done as a way to remember them for future cases J

After that, we sampled 3 cows that were all presenting the same problems.  All had calved within the last 2 months, had gone off feed, and their milk yield had dramatically dropped.  These are all classic signs of ketosis.  When cows are milking, they are diverting a lot of their nutrients, and fat into the milk they make.  Therefore, when cows go off feed, they still keep diverting nutrients to that need instead of their bodies, and they mobilize fat.  An intravenous injection of dextrose will generally fix the ketosis, but the bigger question that one must find the answer to is, “Why did the cow go off feed in the first place?”  You can fix the ketosis, but sometimes if you don’t find the root of the problem, it will keep happening. 
This is a native breed of horse that they have here in India.
I'm not sure what it is called exactly, but its ears turn in
to face each other, which is strange, and they have really
long legs!






This is a picture of a Brahman bull.  He was not very happy when
they were working on him, and was actually quite scary at times!

We also got to see a few goats that had impactions, which is common in India because they eat a lot of garbage, and one of them had a palpable impaction the size of a baseball!  After we had collected as many samples as we could, and collected the medical histories, we came back to the hostel for lunch.  After lunch we are going back to the clinic to run milk ring tests to test for brucellosis, and to extract DNA from the milk samples.  Should be a fun rest of the day!

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